Yuan Jin-Dan, Zhang Zhi-Zhi
Digestive Endoscopy Center, The First Affiliated Hospital of Soochow University, Suzhou 215000, Jiangsu Province, China.
World J Gastrointest Surg. 2024 Nov 27;16(11):3531-3537. doi: 10.4240/wjgs.v16.i11.3531.
As lifestyles continue to change worldwide, the incidence of digestive tract carcinoma has gradually increased. Digestive endoscopy is an important tool that can assist in the diagnosis, treatment, and surgical intervention for this disease. However, the examination process is affected by many factors, and patient cooperation is often poor, which can increase the risk of complications.
To explore the effects of integrated management and cognitive intervention on cooperation and complications in patients undergoing endoscopy for early gastrointestinal neoplasms.
A total of 354 patients with early stage gastrointestinal cancer who underwent digestive endoscopy procedures between January and December 2023 at our hospital were divided into observation and control groups (177 patients in each group) in a randomized controlled blind trial. The control group received routine interventions, while the observation group received comprehensive integrated management combined with cognitive interventions. We compared the changes in adverse mood, discomfort, examination time, cooperation with the examination, and complications before and after the intervention between the two groups.
The self-rated anxiety and depression scale scores were lower in the observation group than in the control group ( < 0.05). The visual analog scale scores for discomfort during intubation and examination were also lower in the observation group than in the control group ( < 0.05). Furthermore, the examination time was shorter in the observation group than in the control group ( < 0.05), and the degree of cooperation (94.35%) was higher in the observation group than in the control group (84.75%; < 0.05). Lastly, the incidence rates of gastrointestinal adverse reactions (10.17% 20.34%), choking agitation (14.69% 24.86%), abdominal pain (8.47% 18.08%), and muscle tension (5.08% 14.12%) were all lower in the observation group than in the control group ( < 0.05).
Integrated management and cognitive intervention in early gastrointestinal neoplasm endoscopy alleviate mood, reduce discomfort, shorten examinations, improve cooperation, and reduce complications.
随着全球生活方式的持续改变，消化道癌的发病率逐渐上升。消化内镜检查是辅助该疾病诊断、治疗及手术干预的重要工具。然而，检查过程受多种因素影响，患者配合度往往较差，这会增加并发症风险。
探讨综合管理与认知干预对早期胃肠道肿瘤内镜检查患者配合度及并发症的影响。
在一项随机对照双盲试验中，将2023年1月至12月在我院接受消化内镜检查的354例早期胃肠道癌患者分为观察组和对照组（每组177例）。对照组接受常规干预，观察组接受综合管理并联合认知干预。我们比较了两组干预前后不良情绪、不适、检查时间、检查配合度及并发症的变化。
观察组的自评焦虑和抑郁量表评分低于对照组（P<0.05）。观察组插管及检查过程中不适的视觉模拟量表评分也低于对照组（P<0.05）。此外，观察组的检查时间短于对照组（P<0.05），观察组的配合度（94.35%）高于对照组（84.75%；P<0.05）。最后，观察组胃肠道不良反应（10.17%对20.34%）、呛咳躁动（14.69%对24.86%）、腹痛（8.47%对18.08%）及肌肉紧张（5.08%对14.12%）的发生率均低于对照组（P<0.05）。
早期胃肠道肿瘤内镜检查中的综合管理与认知干预可缓解情绪、减轻不适、缩短检查时间、提高配合度并减少并发症。
